28 year old, moderate to severe ED for 8 years now

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Lasthope20
Posts: 2
Joined: Sun Dec 05, 2021 1:23 am

28 year old, moderate to severe ED for 8 years now

Postby Lasthope20 » Tue Jun 24, 2025 8:12 pm

Hey yall so I’m 28 years old, first experienced ED around 20 years old. Has gradually gotten worse over the years, I haven’t gotten morning erections for about 6-7 years now, soft upon waking up. I take Tadalafil every other day or so 20mg split into two, so 10mg, it helps but I haven’t had a super strong erection in years, maybe like 70-80%, enough to have sex but not be too confident in the firmness after a little bit during sex. About a month ago I went through a solid two weeks of not being able to get hard enough for sex and couldn’t get hard masturbating. It has somewhat gotten better. I’ve been to Dr Clavell’s office before, they injected me with trimix, I got firm but unable to get a hard erection at all, they came in and did the ultrasound and said I didn’t have a venous leak.

I’m looking into getting insurance with Blue Cross Blue Shield of Texas, however all the plans I’ve seen have sexual dysfunction in the limitations or exclusions. I know Clavell’s office accepts BCBS, however how do they get the insurance to cover the penile implant if sexual dysfunction is on the limitations and exclusions list for all these plans I’ve seen??? Thank you in advance for the replies.

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Kodixx
Posts: 375
Joined: Wed Jan 08, 2025 5:32 pm

Re: 28 year old, moderate to severe ED for 8 years now

Postby Kodixx » Wed Jun 25, 2025 1:24 pm

Lasthope20, I am really sorry to hear about your situation. Have you tried VED ? If so, does it get you past the 70-80% erection you described ?

As far as insurance, you might want to be aware of what's available from the Affordable Care Act. ACA insurance plans generally cover implants when proven medically necessary. If you have access to insurance thru an employer or spouse, you wouldn't qualify. If you make $50-$70K/yr, it is subsidized to be reasonably "affordable". Otherwise it can be expensive since there's no employer contribution.

- Chuck

https://www.google.com/search?q=does+the+Affordable+Care+Act+cover+internal+penile+prosthetic+procedure&oq=does+the+Affordable+Care+Act+cover+internal+penile+prosthetic+procedure&gs_lcrp=EgZjaHJvbWUyBggAEEUYOdIBCTIyODIxajBqMagCALACAA&sourceid=chrome&ie=UTF-8
Lasthope20 wrote:I’m looking into getting insurance with Blue Cross Blue Shield of Texas, however all the plans I’ve seen have sexual dysfunction in the limitations or exclusions. I know Clavell’s office accepts BCBS, however how do they get the insurance to cover the penile implant if sexual dysfunction is on the limitations and exclusions list for all these plans I’ve seen??? Thank you in advance for the replies.
Feb 2025 - 58 yo, 38 with greatest wife ever
AMS CX, Tenacio, Dr Broghammer (excellent) - pre-op L:7", post-op @ 5 mo L: 6.75" G: 5.5"
2 wks pain, cycling-sex-lifting @ 7 wks, only minor discomfort @ 10 wks, felt like 'new normal' @ 16 wks

Lasthope20
Posts: 2
Joined: Sun Dec 05, 2021 1:23 am

Re: 28 year old, moderate to severe ED for 8 years now

Postby Lasthope20 » Tue Jul 01, 2025 6:08 pm

Yes so my employer offers blue cross blue shield for insurance coverage, I was planning to use it starting next year. However the two plans they offer with blue cross blue shield have sexual dysfunction on the limitations and exclusions list, and I checked other non employer plans through BCBS and sexual dysfunction was on all limitations exclusions list. So I’m just confused, if I get insurance through my employer, will I be able to get the implant eventually if deemed medically necessary?


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